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1669119533
JOSE CARLOS FONTANILLO
SALINAS, CA
NPI
1669119533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13066)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
JOSE CARLOS FONTANILLO SUDRC
11 PEACH DR
SALINAS, CA 93901-3710
Phone number: 408-661-1647
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Mailing Address
JOSE CARLOS FONTANILLO SUDRC
11 PEACH DR
SALINAS, CA 93901-3710
Phone number: 408-661-1647
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